ACFLR (AGENT COMMISSION FORM for Lease, Referral, & New Construction)
Please fill out the details below at least 48hrs prior to your transaction closing. Only Staff are authorized to send commission demands to escrow.
Please Indicate
*
Lease
Referral
New Construction
ROG Future Agent Name
*
First Name
Last Name
ROG Agent Email
*
COE Date:
*
/
Month
/
Day
Year
Price $
*
Commission %
Gross Commission $
*
ROG Future Client Name
*
Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
City
*
Zip Code
*
Escrow #
*
Escrow Officer Name (or party paying commission)
*
First Name
Last Name
Escrow Officer Email
*
example@example.com
Escrow Officer Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
ROG Fee
*
10% Gross Commission + $200 Transaction Storage (Fee/Management System) Capped at $800 for Residential
Transaction Coordinator Name
Transaction Coordinator Email
example@example.com
Transaction Coordinator fee $
Are you giving a Credit?
*
Yes
No
Credit $
Indicate Buyer or Seller
Please Select
Buyer
Seller
Are you paying referral fees?
*
Yes
No
Referral $
Referral fee to:
File Upload
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If yes provide an RFA-11 & W9 with ACF
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Are you enrolled in RERM??
*
Yes
No
RERM $
RERM ONLY applicable on Lease
Net Commission Due to Agent $
*
AFTER ALL DEDUCTIONS & CREDITS
ROG Agent Signature
I certify, I have submitted/ uploaded all applicable documents except for Final Closing Statement on the ROG FUTURE transaction checklist for FILE REVIEW prior to submitting this ACF.
Form filled by:
*
Date
*
-
Month
-
Day
Year
Is there anything you'd like to add? (please also leave edit notes here)
Please note Agent can only be paid thru Escrow if we have a complete package except for Final Closing Statement. Any missing documents will be required before commission checks are disbursed. NO EXCEPTIONS!
Additional Attachments
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